Organization Active NPI

Elkins Medical Practice PLLC

  • Family Medicine Physician
  • Clearfield, PA
National Provider Identifier
1396168688
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD036923E Issued in PA
Legal business name
ELKINS MEDICAL PRACTICE PLLC
Practice address
820 Turnpike Avenue
Clearfield, PA 16830-1233
Phone
(814) 765-5712
Fax
(814) 746-4171
NPI assigned
Jan 23, 2014
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carol G Elkins, MDNPI 1174538821
Title
Owner
Phone
(814) 765-5712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD036923E PA Primary

Addresses

Primary practice location

820 Turnpike Avenue
Clearfield, PA 16830-1233

Mailing address

820 Turnpike Avenue
Clearfield, PA 16830-1233
Phone (814) 765-5712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140401001788 PA Part B Supplier - Clinic/Group Practice 5294966461 Receives reassigned benefits from 1 practitioner
Practice locations: Clearfield, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1396168688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 TURNPIKE AVENUE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301233",
            "telephone_number": "814-765-5712",
            "fax_number": "814-746-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 TURNPIKE AVENUE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301233",
            "telephone_number": "814-765-5712",
            "fax_number": "814-746-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKINS MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-765-5712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD036923E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.